Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
9402 W Lake Mead Blvd Ofc 105, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 381-3414.
Mrs Jacqueline Rose Evans is licensed to practice in * (Not Available) (license number 7063-C) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639410525.
Healthcare Provider's Profile
| Full Name | Mrs Jacqueline Rose Evans |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 9402 W Lake Mead Blvd Ofc 105, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jacqueline Rose Evans graduated from medical school in 2012
NPI Data:
- NPI Number: 1639410525
- Provider Enumeration Date: 03/03/2013
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092055335
- Enrollment ID: I20190322000797
Medical Identifiers
Medical identifiers for Mrs Jacqueline Rose Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639410525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00302-C (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7063-C (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Rose Evans is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC
9402 W Lake Mead Blvd Ofc 105,
Las Vegas, NV 89134-8312
Ph: (702) 381-3414 | Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC
9402 W Lake Mead Blvd Ofc 105,
Las Vegas, NV 89134-8312
Ph: (702) 381-3414 |
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